The Board may not renew a license until the Comptroller of Maryland has verified that the individual has paid all undisputed taxes and unemployment insurance contributions, or arranged for repayment, as required by COMAR 10.31.02. A licensee shall renew the license every 2 years. At least 1 month before the license expires, the Board shall send to the last known address of record of the licensee, by electronic or first-class mail: A renewal notice that states: The date on which the current license expires; The date by which the renewal application shall be received by the Board for the renewal to be issued and mailed before the license expires; The amount of the renewal fee and any additional charges set by the Board; and A blank panel data sheet supplied by the Health Care Alternative Dispute Resolution Office. If the Board chooses to send renewal notices exclusively by electronic mail, the Board shall send a renewal notice by first-class mail to a licensee on request of the licensee. The failure to receive a renewal notice does not excuse a licensee from complying with §B of this regulation. Before the expiration date of the license, a licensee applying for renewal shall complete the application for renewal on a form supplied by the Board. A licensee shall inform the Board by electronic or first-class mail of any of the circumstances listed in Regulation .03H(1) and (2) of this chapter within 30 days of the occurrence of or notification about these circumstances. A licensee applying for renewal shall complete the CME requirements as defined in Regulation .10 of this chapter. A licensee applying for renewal shall pay the renewal fee and any additional charges set by the Board. After the expiration date of the license, the physician is no longer licensed to practice medicine. The Board may impose a fine of up to $50,000 for practicing without a license if a formerly licensed physician: Fails to submit an application and to pay the requisite renewal fee within 60 days of the expiration of the license; or Practices medicine 60 days after the expiration of the license or thereafter. A holder of a restricted license to practice osteopathy shall renew the license every year as follows: Submit a renewal form supplied by the Board; and Pay a renewal fee and any additional charges set by the Board. A licensee applying for the first renewal shall have completed an orientation program approved by the Board. The Board may defer this requirement for physicians practicing out of State or in cases of individual hardship.